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タイトル別表記
Arachnoid Plasty against Chronic Subdural Hematoma
著者
八木, 謙次 Kushiro Kojinkai Memorial Hospital|Tokushima University KAKEN研究者をさがす
Irie, Shinsuke Kushiro Kojinkai Memorial Hospital
Inagaki, Toru Kushiro Kojinkai Memorial Hospital
Ishii, Yosuke Kushiro Kojinkai Memorial Hospital
Saito, Osamu Kushiro Kojinkai Memorial Hospital
Lee, Tejin Kushiro Kojinkai Memorial Hospital
Nakagawa, Hiroshi Kushiro Kojinkai Memorial Hospital
Saito, Koji Kushiro Kojinkai Memorial Hospital
永廣, 信治 Kushiro Kojinkai Memorial Hospital|Tokushima University 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
arachnoid plasty
unruptured aneurysm
chronic subdural hematoma
clipping
資料タイプ
学術雑誌論文
抄録
Some patients develop chronic subdural hematomas (CSDHs) after the clipping/coating of unruptured aneurysms. The risk factors are not well understood and while no preventive methods are currently available, arachnoid plasty (ARP) may intercept the development of postoperative CSDH. We investigated the risk factors for CSDH and the usefulness of ARP to prevent postoperative CSDH. Between January 2009 and June 2013, 393 patients underwent 416 aneurysm surgeries via the pterional approach at Kushiro Kojinkai Memorial Hospital. Of these, 394 aneurysms (371 patients) were included in this study. Using multivariate analysis we evaluated the relationship between the patient demographics and clinical characteristics, and the development of postoperative symptomatic CSDH. We also studied the effect of ARP performed during aneurysm surgery. We found that symptomatic CSDH developed after 20 (5.1%) of the 394 operations; it was addressed by burr hole surgery and evacuation/irrigation. Male gender, advanced age, and oral anticoagulant therapy were significant risk factors for CSDH. Additive ARP, performed in the course of 132 surgeries (33.5%) was found to be a significant negative risk factor. The incidence of CSDH was significantly lower in patients who had undergone ARP than in patients who had not undergone it (0.8% vs. 7.3%, p < 0.01). We first report that ARP is useful for the prevention of CSDH in patients treated by aneurysm surgery.
掲載誌名
Neurologia Medico-Chirurgica
ISSN
04708105
13498029
cat書誌ID
AN00358613
出版者
The Japan Neurosurgical Society
55
6
開始ページ
493
終了ページ
497
発行日
2015
権利情報
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License(https://creativecommons.org/licenses/by-nc-nd/4.0/).
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
病院